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  • 445 Main Street, 2nd Floor, #1, Saco, ME 04072
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Shoreline Healthcare Technologies is a proud Maine-based company that offers end to end revenue cycle management services to physicians and Medical billing companies  in Minnesota. Our goal is to help them manage their business in a way where they can focus on patient care and operations, not paperwork! By providing great services at reduced costs, we have been able to keep our customers since our inception in 2015.Explore our case studies to see how we’ve helped practices overcome complex billing challenges and improve cash flow.

As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry. We offer timesaving, cost-effective revenue cycle management services to your Michigan-based practice. Ready to outsource your billing needs? We’ll guide you through your receivable account to make sure that your claims are paid.

Best In the Industry

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Shoreline Healthcare Technologies in Minnesota exceeds customer expectations and we are proud of our history, but more importantly we are focused on the future. We have grown in recent years by continuing to invest in technology and people while maintaining a commitment to excellent service and innovation. We have the best customer service and one of the highest success rates for reimbursement, so you know your money will be going where it belongs - back into your pocket.

Minnesota Billing Challenges we solve



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Simplifying the Multi-Layered DHS Structure

Minnesota’s Medical Assistance program has a mix of services like Fee-for-Service, MCOs, MinnesotaCare, IHPs etc which might lead to misrouting, duplicate submissions, and denials tied to the wrong payer sequence. We at Shoreline Healthcare Technologies resolves this by running payer sequencing audits at the patient and service level, and maintain a special payer-rule matrices for every Minnesota MCO, plus MinnesotaCare to ensure that every enrollment and billing linkages are aligned with the DHS, PRISM, and MN–ITS. Providers no longer need to guess who pays what and in which order, as Shoreline automatically routes claims precisely to the correct payer the first time.

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MN–ITS Portal Complexity & High Rejection Sensitivity

Minnesota’s MN–ITS system is known for being very exacting. Many providers say it “rejects first, asks questions later.” Common challenges include very strict service line formatting, rejections tied to taxonomy mismatches, errors tied to missing PRISM enrollment updates, limited compatibility with some clearinghouses for real-time edits. Even a minor detail like an incorrectly linked service location can block an entire batch. Shoreline’s specialized Minnesota team uses real-time MN–ITS error pattern tracking, so rejections that would normally take weeks to decode are resolved in hours. We proactively fix all the taxonomy/NPI mismatches, Place-of-service linkage errors and enrollment conflicts caused by the PRISM transition. This significantly reduces the type of rework that local clinics typically struggle with.

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Normalizing the Prior Authorization Workflows across All MCOs

In Minnesota each MCO handles PA requirements, Telehealth rules, and behavioral health authorizations differently. We at Shoreline Healthcare Technologies solves this by maintaining MCO-specific PA grids, we completie and track all the authorizations on behalf of providers and monitor expiration dates and unit consumption. Our team always takes care to ensure that PA numbers are attached to the claims correctly before submission. This prevents situations where care is delivered appropriately but goes unpaid because of a missing authorization.

We at Shoreline Healthcare Technologies provide personalized support tailored to the unique needs of Minnesota providers. Our team of experts understands the intricacies of the Minnesota billing landscape and offers guidance to help practices navigate these challenges effectively with our cloud-based RCM solutions for an optimized Revenue Cycle Management.

Comprehensive Medical Billing Services for Minnesota

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Specialized Services tailored to meet Minnesota Medicaid rules and regulations

🩺 Services 📍Minnesota Specialization 📈 Typical Improvement ⏱️ Turnaround Time
End-to-End Medical Billing and Claims Management Billing aligned to Minnesota Medicaid FFS and MinnesotaCare 15–25% increase in payment collections with 20–30% reduction in net denial rate. 1-2 weeks
Behavioral Health & SUD Billing Plan-specific billing workflows, expertise in bundled SUD rates, county authorization rules and documentation standards Revenue capture improvement of 25–40% for BH/SUD programs Claims submitted within 48 hours post-documentation.
MinnesotaCare & MA Eligibility Management Daily/weekly eligibility verification, MinnesotaCare premium-lapse monitoring, retroactive eligibility rebilling 15–25% increase in successful first-pass payments Eligibility verification in real time; rebills in 48–72 hours
Denial Management AI based tools to track and flag denial codes and root-cause analysis tailored for Medicaid claim categories, identifies high-risk categories and automate resubmissions. Reduce rate of denial by 75% and with quicker appeals. 7–14 days for backlog cleanup; ongoing daily follow-up
Telehealth Billing Applies telehealth geography rules, specific codes, modifiers, and POS 25–40% fewer telehealth denials Same-day telehealth claim processing.
Patient Statements & Follow-Up Communicate with patients and give Explanation of Benefits (EOBs). Includes text/email payment reminders and online payment options. Reduces overdue balances and better collection rates. 1-2 weeks
Audit & Compliance Support Conducts Audit Review and mock audits, including documentation, encounter verification, and claim reconciliation. Minimizes risk of penalties and supports successful audits. Ongoing, depending on audit schedule

Medical Billing Resources for Minnesota

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Comprehensive resources specifically designed for Medicaid Providers to navigate the state’s complex Billing Landscape.

Medicaid Billing Guide

A Complete guide covering all billing requirements, policy updates and compliance standards.

Behavioral & Mental Health Billing rules and guidelines

Specialized billing guidelines and documentation procedures for behavioral health programs.

Revenue Cycle Optimization

Best Practices and Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Minnesota

Minnesota’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Minnesota

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From Anoka to Wright, we provide comprehensive medical billing services across all 87 Minnesota counties.

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Twin Cities Metropolitan Area:

Anoka, Carver, Chisago, Dakota, Hennepin (Minneapolis), Ramsey (St. Paul), Scott, Sherburne, Washington, Wright

Southeast Minnesota:

Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha, Winona

Southwest Minnesota:

Blue Earth, Brown, Chippewa, Cottonwood, Faribault, Jackson, Kandiyohi, Lac qui Parle, Le Sueur, Lincoln, Lyon, Martin, McLeod, Meeker, Murray, Nicollet, Nobles, Pipestone, Redwood, Renville, Rock, Sibley, Swift, Waseca, Watonwan, Yellow Medicine

Central Minnesota:

Becker, Benton, Cass, Clay, Crow Wing, Douglas, Grant, Isanti, Kanabec, Otter Tail, Pope, Stearns, Stevens, Todd, Traverse, Wadena, Wilkin

Northeast Minnesota:

Aitkin, Carlton, Cook, Isanti, Itasca, Koochiching, Lake, Pine, St. Louis

Northwest Minnesota:

Beltrami, Clearwater, Kittson, Lake of the Woods, Mahnomen, Marshall, Norman, Pennington, Polk, Red Lake, Roseau

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Primary Care
Specialty Clinic
Rural Health
Mental Health
Cardiology
Dermatology
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Oncology
Orthopedics
Pediatrics
Psychiatry
Radiology
Surgery
Urgent Care
Women's Health

Frequently Asked Questions

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FAQs about Medical Billing Services in Minnesota

Q1. What is the difference between Medical Assistance (MA) and MinnesotaCare?

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MA is the Minnesota’s Medicaid program, covering individuals based on their income, disability, pregnancy, or age.

MinnesotaCare is a low-cost insurance program for individuals who don’t qualify for MA. Unlike MA, MinnesotaCare requires members to pay monthly premiums.

Q2. What are the timely filing limits for Minnesota Medicaid?

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  • MA Fee-for-Service: 12 months from the date of service
  • MCOs: Typically, 90–180 days depending on the plan

Q3. Does Shoreline Healthcare Technologies support in billing behavioral health and SUD claims?

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Yes. Shoreline offers comprehensive RCM services across all specialities. We do serve for behavorial health and maintain a Minnesota-specific templates; by managing county authorizations, we update our billing systems to match DHS rate changes, prepares charts for SUD audits, and ensures that documentation meets state criteria. We help providers of mental health and SUD clinics to stay compliant and improve their cash flow.

Q4. How can Shoreline Healthcare Technologies help providers in Minnesota?

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We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from patient appointment scheduling to eligibility checks, prior auths, coding, claim submissions, denials, and appeals, till payment processing and patient communication ensuring faster payments and compliance with state specific rules. We also offer analytics and process automation to reduce first pass rejects in state systems and to reconcile managed-care encounter reporting.

Q5. What improvements can Minnesota providers expect after partnering with Shoreline?

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By partnering with Shoreline Healthcare Technologies providers experiences a significant reduction in MN–ITS rejections, faster A/R turnover, higher rate of accuracy in complex services (SUD, waiver, CFSS), smooth handling of PRISM issues and predictable cash flow.

Compliance & Certifications

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Your data security and compliance are our top priorities.

HIPAA Compliant

Full HIPAA compliance with regular audits

AAPC Certified

Certified Professional Billing Staffs.

Minnesota Licensed

Licensed to operate in Minnesota

Medical Billing Glossary

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Essential Terms for Understanding the Minnesota’s Medical Billing Landscape

Consolidated Chemical Dependency Treatment Fund (CCDTF)

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The funding structure that puts together the federal, state, and county dollars to pay for SUD treatment for eligible individuals.

Medical Assistance (Minnesota Medicaid) MA

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The Medicaid program of Minnesota covering the low-income adults, children, elderly, and disabled individuals.

Minnesota Health Care Programs (MHCP)

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The umbrella term that includes Medical Assistance program, MinnesotaCare, and other public healthcare programs in Minnesota which is administered by the DHS.

MinnesotaCare

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The public insurance program for low-income Minnesotans who do not qualify for MA. It requires members to pay a monthly premium and the eligibility shifts frequently due to change in income levels and premium payments.

Minnesota Information Transfer System (MN-ITS)

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The official DHS portal used by providers to submit MA claims, check eligibility, verify service authorizations, and review remittance advices.

Provider Resource Information System for Management (PRISM)

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The new Medicaid administrative platform replacing the traditional MMIS in the state of Minnesota. It is used for provider enrollment, rate management, and claim-processing alignment.

Our Services

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Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.

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Testimonials

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We Care

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From electronic health records, billing services and practice management tools-Shoreline has you covered! In addition to being an industry leader when it comes to pricing, we also provide personalized support for every client, with a team of experts who have worked with physicians and medical groups for years, Shoreline Healthcare Technologies in Minnesota understands how to navigate today’s complex healthcare revenue environment.

Ready to Optimize Your Medical Billing?

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Get your free consultation and discover how much you could save with our Minnesota-specialized billing services.

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Contact Information

  • 445 Main Street, 2nd Floor, #1, Saco, ME 04072
  • 1-855-838-1370
  • info@shorelinemb.com
  • M-F, 9am - 5pm EST

Why work with us?
  • 40% average denial rate reduction
  • Local billing expertise
  • 24-48 hour claim turnaround
  • Dedicated Minnesota support team